{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:13:12Z","timestamp":1773285192468,"version":"3.50.1"},"reference-count":25,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,24]]},"abstract":"<jats:p>Pyosalpinx is a severe sequel of chronic pelvic inflammatory disease, whereby the fallopian tubes become filled with pus.<jats:sup>1 2<\/jats:sup>Pyosalpinx often affects sexually active women and rarely is seen in celibate adolescent girls.<jats:sup>3<\/jats:sup>We report a case of a 12-year-old girl with no prior sexual history who presented to our emergency department with complaints of severe right lower quadrant pain of 1-day duration. Ultrasonography and CT scan of the abdomen and pelvis revealed free fluid collections in the pelvis without visualisation of the appendix. A preoperative diagnosis of acute ruptured appendicitis was given and she was taken to the operating room. Peroperative findings included bilaterally distended, pus-filled pyosalpinges. A definitive diagnosis of bilateral pyosalpinx was then made. Two-week antibiotic therapy was successful but the patient returned with recurrent pyosalpinx and a pelvic abscess 9\u2009weeks later.<\/jats:p>","DOI":"10.1136\/bcr-2016-218924","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T10:04:12Z","timestamp":1556705052000},"page":"bcr-2016-218924","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Bilateral recurrent pyosalpinx in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9058-8439","authenticated-orcid":false,"given":"Tareq","family":"Maraqa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Coffey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gul R","family":"Sachwani-Daswani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crystal","family":"Alvarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo","family":"Mercer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,24]]},"reference":[{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1186\/s13104-016-2175-3","article-title":"Pyosalpinx causing acute appendicitis in a 32-year-old cameroonian female: a case report","volume":"9","author":"Agbor","year":"2016","journal-title":"BMC Res Notes"},{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.rigapp.2006.06.001","article-title":"Pelvic inflammatory disease and pelvic abscesses","volume":"6","author":"Khan","year":"2006","journal-title":"Reviews in Gynaecological and Perinatal Practice"},{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.3","first-page":"257","article-title":"Pyosalpinx and Hydrosalpinx in virginal adolescents: report of two cases","volume":"62","author":"Moralio\u011flu","year":"2013","journal-title":"West Indian Med J"},{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.4","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1016\/j.jpag.2013.04.012","article-title":"Pelvic inflammatory disease in virginal adolescent females without tubo-ovarian abscess","volume":"27","author":"Kielly","year":"2014","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.5","first-page":"34","article-title":"Bilateral pyosalpinx as a rare cause of pelvic cystic lesions Ii a 12-year old girl- abstract","volume":"8","author":"Schmieg","year":"2014","journal-title":"J Pediatr\u00a0Surg"},{"key":"2025042712021969000_2017.jun24_2.bcr-2016-218924.6","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1186\/1757-1626-1-326","article-title":"Salpingitis. 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